The association of doctor-patient race concordance with health services utilization
The association of doctor-patient race concordance with health services utilization
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DOI：
10.2307/3343378
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发表时间：
2003-01-01
影响因子：
3.8
通讯作者：
Jones, KE
中科院分区：
文献类型：
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作者：
LaVeist, TA;Nuru-Jeter, A;Jones, KE
我们调查了非洲裔美国人、白人、西班牙裔和亚裔美国人的全国样本，以检验这一假设，即当患者与他们的医生种族一致时，他们更有可能利用医疗服务。该分析使用了1994年联邦基金少数民族健康调查来构建一系列多变量模型。使用卫生服务利用的三个维度，我们找到了对该假说的支持。与正规医生不同种族的患者相比，与医生属于同一种族或民族的患者更有可能使用所需的医疗服务(OR=.62；95%CI.46，.81)；推迟或延误就诊的可能性较小(OR=.78；95%CI.65，.94)；报告的医疗服务使用量较高(OR=2.68；95%CI 2.07，3.45)。在种族特定的子样本中的分析发现，这种模式在白人和非裔美国人中最一致，在西班牙裔和亚裔美国人中不太普遍。调整健康状况模型和卫生保健利用的其他各种已知预测因素，并不会对医患种族一致性和卫生服务利用之间的关系产生实质性影响。
We examined a national sample of African-American, white, Hispanic, and Asian-American respondents to test the hypothesis that when patients are race concordant with their physicians, they are more likely to utilize health services. The analysis used the 1994 Commonwealth Fund Minority Health Survey to construct a series of multivariate models. Using three dimensions of health services utilization, we found support for the hypothesis. Compared to patients whose regular doctors are of a different race, patients who are of the same racial or ethnic group as their physicians were more likely to use needed health services (OR = .62; 95% CI .46, .81); were less likely to postpone or delay seeking care (OR = .78; 95% CI .65, .94); and reported a higher volume of use of health services (OR = 2.68; 95% CI 2.07, 3.45). Analysis within race-specific sub-samples found this pattern to be most consistent among white and African-Americans and less prevalent among Hispanic and Asian-Americans. Adjusting the models for health status and a variety of other known predictors of health care utilization did not substantially affect the relationship between doctor-patient race concordance and health services use.